Reveel Entertainment Widget

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<div class="control-group ticket_section">
                 <label class=" required control-label cf_approximate_date_and_time_the_issue_happened_optional_2170062-label " for="helpdesk_ticket_cf_approximate_date_and_time_the_issue_happened_optional_2170062">Approximate date and time the issue happened </label>
            <div class="controls  support-date-field ">
              <input type="text" name="helpdesk_ticket[custom_field][cf_approximate_date_and_time_the_issue_happened_optional_2170062]" id="helpdesk_ticket_custom_field_cf_approximate_date_and_time_the_issue_happened_optional_2170062" class=" required date section_field datepicker_popover" readonly="readonly" data-show-image="true" data-date-format="d M, yy" placeholder="" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_is_the_issue_replicableoptional_2170062-label " for="helpdesk_ticket_cf_is_the_issue_replicableoptional_2170062">Is the issue replicable?</label>
            <div class="controls   ">
              <select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_is_the_issue_replicableoptional_2170062]" id="helpdesk_ticket_custom_field_cf_is_the_issue_replicableoptional_2170062"><option value="">...</option>
<option data-id="72001143598" value="It always happens">It always happens</option>
<option data-id="72001143599" value="It happens sometimes but not always">It happens sometimes but not always</option>
<option data-id="72001143600" value="It only happened once so far">It only happened once so far</option></select>
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_where_did_you_encounter_the_issue_2170062-label " for="helpdesk_ticket_cf_where_did_you_encounter_the_issue_2170062">Where did you encounter the issue?</label>
            <div class="controls   ">
              <select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_where_did_you_encounter_the_issue_2170062]" id="helpdesk_ticket_custom_field_cf_where_did_you_encounter_the_issue_2170062"><option value="">...</option>
<option data-id="72001153727" value="Website">Website</option>
<option data-id="72001153729" value="Roku">Roku</option>
<option data-id="72001153730" value="iPhone or iPad">iPhone or iPad</option>
<option data-id="72001153731" value="Apple TV">Apple TV</option>
<option data-id="72001153728" value="Android phone or tablet">Android phone or tablet</option>
<option data-id="72001153732" value="Android TV">Android TV</option>
<option data-id="72001153733" value="Fire TV">Fire TV</option></select>
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class="  control-label cf_if_you_encountered_the_issue_on_the_website_please_provide_the_browser_used_eg_chromeoptional_2170062-label " for="helpdesk_ticket_cf_if_you_encountered_the_issue_on_the_website_please_provide_the_browser_used_eg_chromeoptional_2170062">If you encountered the issue on the website, please provide the browser used (e.g. Chrome. Firefox)</label>
            <div class="controls   ">
              <input class="  text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_if_you_encountered_the_issue_on_the_website_please_provide_the_browser_used_eg_chromeoptional_2170062]" id="helpdesk_ticket_custom_field_cf_if_you_encountered_the_issue_on_the_website_please_provide_the_browser_used_eg_chromeoptional_2170062" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class="  control-label cf_if_you_encountered_the_issue_inapp_please_provide_the_device_model_os_and_app_version_eg_iphone_16_os_version_1832_app_version_123optional_2170062-label " for="helpdesk_ticket_cf_if_you_encountered_the_issue_inapp_please_provide_the_device_model_os_and_app_version_eg_iphone_16_os_version_1832_app_version_123optional_2170062">If you encountered the issue on mobile, please provide your device model, OS version, and Reveel app version (e.g. iPhone 16, OS Version 18.3.2, Reveel Version 1.23)</label>
            <div class="controls   ">
              <input class="  text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_if_you_encountered_the_issue_inapp_please_provide_the_device_model_os_and_app_version_eg_iphone_16_os_version_1832_app_version_123optional_2170062]" id="helpdesk_ticket_custom_field_cf_if_you_encountered_the_issue_inapp_please_provide_the_device_model_os_and_app_version_eg_iphone_16_os_version_1832_app_version_123optional_2170062" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class="  control-label cf_tv_details_2170062-label " for="helpdesk_ticket_cf_tv_details_2170062">If you encountered the issue on TV, please provide your TV model, OS version, and Reveel app version (e.g. Roku, Roku OS Version 14.5, Reveel Version 1.23)</label>
            <div class="controls   ">
              <input class="  text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_tv_details_2170062]" id="helpdesk_ticket_custom_field_cf_tv_details_2170062" />
            </div> 
                </div>

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